SSRIs and School Shootings, FDA Corruption, and Why Everyone on Anti-Depressants Is Totally Unhappy
I think this is one of those topics that um if people understood the the scale of the problem. and the severity that we would be talking about this every day along with you know immigration and. foreign policy uh this is in my view one of the one of the most important things going on right. now. Give us a sense of how widespread the use let's just start with SSRIs anti-depressants. Um. how widespread is their use in the United States? about 14% of the population total.
population of the total population is currently taking an anti-depressant medication currently. currently. Yes. Yeah. And that was that's actually as of 2014 the numbers have gone up. uh since co so I would say it's probably between 15 to 20% of the population is currently on those. drugs are taking anti-depressants on a daily basis. [Music] [Applause] [Music].
[Music] [Applause] [Music]. So that's I mean compared to my childhood or even 25 years ago that's a massive increase. It's an. enormous increase. It's it's likely you know last statistics I looked at I think it's about a 500%. increase from where things were in the '90s in the early '90s. Has America's collective mental health.
improved? No. there's actually more suicides, there's more disability from mental health. uh problems and teen suicide is higher as well. Okay. So, if there's been a 500% thereabouts. increase in the use of these drugs, but more people are killing themselves and the drugs are. prescribed in order to make you not kill yourself, then that suggests that like we're getting the. opposite of the intended effect. Yeah. Yeah. Yeah. Big time. um where, you know, there's more.
psychiatric prescribers now. There's more drug, you know, drug prescribing and the outcomes are. actually getting worse. It's what we're doing is not working on a national level. I'm just going to. skip ahead to my opinion, then I'm going to pull back, but that suggests that we should ban the. drugs and imprison the people selling them. That's my personal view. Um but I'll, you know, you're. the psychiatrist. Um so what effect and I will try to reduce my emotional outburst just to that um.
but it is it's it's so shocking uh when you know the details um where do these drugs come from what. are they exactly what is an SSRI who invented them what do they do so I mean SSRIs are uh kind of the. latest iteration of anti depressants. They've been out since the ' 50s, but Prozac really changed. history when when it came out in 1987. So, this is was a drug that was designed to um modulate.
the serotonin system. This is by uh blocking serotonin re-uptake. And so, what that does is. it increases the amount of serotonin between the neurons and it actually has a drug effect. It it. will make people numb or emotionally constricted. And so that's that's how those drugs are working. I was I remember the roll out for Prozac. Um I think it was on the cover of Time or Newsweek or.
one of the then popular Newsweekly in the United States and it was hailed as a wonder drug that. was going to fix America's psychiatric problems. Mhm. Um and it didn't. But it was also described. as a drug that helped, as I recall, that helped regulate, and I'm quoting, chemical imbalances. in the brain. It was not described as something that would numb you. Mhm. Yeah. It's uh it's it's.
essentially just a a story that was sold the the chemical imbalance myth was a story that was sold. to doctors and patients to make them feel better about taking drugs uh for their mood. Because I. think intuitively many people, you know, when you say, "Hey, you know, I'm unhappy. I'm anxious. I'm. depressed." If you went to that person and said, "Hey, do you want to take a drug that's going to. mask those symptoms?" Intuitively, people would say, "No, you know, I' I'd rather get to the root. cause of that, you know, sweeping things under the rug usually doesn't work that well." Yes. Um but.
when you craft a narrative about these drugs uh fixing a chemical imbalance like say like a type 1. diabetic who doesn't have enough insulin, you give them insulin and it kind of sort of like a magic. bullet kind of injects itself like right into that, you know, pathological process and fixes it. That's kind of a different message. The message to the person is that your brain is defective. there's something wrong with it and we're going to give you this chemical to bring things up to.
normal. Yes, that's a lot easier for someone to to say, well, actually, I need my medicine. uh because I'm broken. But there's but that was essentially a lie. The the idea that these drugs, you know, fixed a chemical imbalance simply came from observations that when you give people. serotonin drugs, um they they can become calmer, they can look less depressed. And so rather than. the obvious explanation being, okay, this is a drug effect that we're seeing, you know, they are.
drugged and that's what we're looking at, people said, well, maybe they just had low serotonin and. now they're looking better because we've fixed this chemical imbalance. And so that message. has just been grabbed by pharmaceutical industry and, you know, psychiatrists to to essentially. lull people into this state where they feel more comfortable taking them. It changed among other. things the practice of psychiatry completely and I remember this just cuz I grew up in an afflin area.
where people use psychiatrists um not in my family but everyone else's family and the um the idea it. was Freudian psychiatry and the idea was we are going to treat the root causes now you would ever. think of Freudian psychiatry or Freud or whatever but you know you'd sit on a couch and talk about. your childhood like that would by addressing the root cause of your problems you would make. it better. That was the promise of it, whether it worked or not. And then it felt like in one day,
right around the time Prozac came out, Freud was being denounced everywhere as a sexist. Mhm. And. Freudian psychiatry became not just sort of P, but like affirmatively unpopular. Mhm. And the. role of psychiatrist was to dispense these drugs. That from an outsers's perspective, that's that's. what I noticed at the time. That is what happened. Um, and I think what um, what was going on was all. of a sudden you had a billion dollar war chest of marketing spend that was trying to seize control.
of the narrative about medications. And so, I mean, Prozac was like a blockbuster. Some people. may not remember this, but that was the drug that made Eli Liy a billion-doll company. I mean, it. was a small company before then. And so at every single level there was an incentive to change how. people thought about distress. You know, no longer was depression and anxiety a complex thing where.
you know there could be uh relationship issues and and problems at work and you know problems. in your childhood. All of that stuff was um now it was almost bigoted in a way to to talk. about depression and anxiety as if it had these these intuitive social and societal like causes. It was now a medical condition. And if you were going to say that it wasn't a medical condition, you weren't taking it seriously and you were stigmatizing people. So, um, drug companies,
they would platform, uh, I guess through their influence with the universities and and and. the media, they were able to push out this this narrative. And so, they could shoot down Freudian. analysis and therapy. Um, and so the message essentially came out that was this is a chemical. imbalance. These are medical conditions, and if you say anything otherwise, you're stigmatizing. the mentally ill. But couldn't I mean it doesn't that's obviously what happened. I saw it happen.
But doesn't really make internal sense. Like you could you could say you know I think you're. depressed because all your relationships are dysfunctional or your parents are horrible or. whatever or you're failing at work. Those are all common causes of sadness for sure. Without. dismissing or stigmatizing the person or his problems like you are taking it seriously. They're just trying to find the actual cause of the problems, right? I mean, absolutely. I mean,
I I think I think to logical people that makes sense, but the way that played out in the in. public spaces and in medical schools was that that was actually a very backwards and kind of, you know, dismissive thing to, you know, people would say things like, you know, depression just isn't normal sadness. You know, it's a serious biological problem. And so to. suggest that um you know this is just some you know life issues going on, relationship issues, you were kind of branded as someone who really you just didn't get it. You didn't understand.
you know the medical underpinnings of this um new disease that was gripping the country and kind of. evolving and making people suffer. So privacy is the basis of freedom. No privacy, no freedom. So. with that in mind, we'd like to introduce you to ExpressVPN, a company we've talked about a. lot. It's an app that does a very simple and essential thing for you and your family. It. reroutes 100% of everything you do online through secure encrypted servers. And that means that data.
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We use it here on the show. We cannot recommend it enough. You get four extra months free when. you use the link. Just scan the QR code on your screen right now or go to expressvpn.com/ducker. ExpressVPN.com/tucker. to get the special offer redeemed. Did the people making these claims understand the medical basis. of this illness they were describing? Uh, no. I mean, I mean that's the irony, right? So, so for.
example, they say it's a chemical imbalance. Did anyone ever describe what balance is? Um, so I mean the thing this is like a white lie that people sort of rationalize to themselves. They because you know people have looked at the chemical imbalance and there is a clear way to. do it. You can um you can look at the brains of depressed people on autopsy and you can actually. you know look at receptor levels and say you know is there any changes in the receptors. You.
can stick needles into people's spine and you can draw out uh fluid and you can look at the. metabolites of things like serotonin and you can get depressed people and undepressed people and. say is there any difference in the actual amount of serotonin floating around in the brain. Every. time they've done this they have not found that there is any difference between depressed and. undepressed people. But there's no difference. There is no difference. Um because that's why we.
don't use any biological markers in the diagnosis of any psychiatric conditions. No brain scans, no blood tests. We can do all of those things. They are not useful because there are no ways, you know, like actual biological ways to differentiate depressed people from undepressed. people. Are you serious? Absolutely. Yeah. Okay. So, well, that's not a white lie then. That's like. a massive whopper. If you're telling me there's a biological basis for anything, but you can't show.
it, then you're lying. Yeah. Or guessing at best. And the way they justify it was, well, okay, so we. haven't found it yet, but um it must be a medical problem and we're eventually going to find it. And rather than admitting that, in the meantime, we'll just tell people it's a chemical imbalance. because it's an easy it's it's just an easy kind of like metaphor for them to understand. and it. helps us dish out the drugs without people asking too many questions. But it's untrue. Therefore,
physicians should not say that or they should lose their medical license. They shouldn't. they shouldn't have been saying it. Um but I thought I mean like strict adherence to reality, honesty. I thought that was like a prerequisite for practicing medicine, getting a license. Yeah. Well, what's happened in um you know in the space of psychiatry is almost like our field has become.
so overrun with pharmaceutical uh propaganda that it's not really an issue of truth in a lot. of places. It's like a moral issue. Doctors feel the need to almost encourage people to take these. medications and cheerlead them onto it. It has been sort of cast as a as a issue where it's like, you know, people these medications are heavily stigmatized. You know, there's a bunch of like. rednecks running around telling people to pull themselves up by their bootstraps. You know,
you know that that's like the boogeyman that's cast out there. Seriously. Yeah. Yeah. And so, yeah, that that people are like, you know, there's that there are rednecks out there. Yeah. There are rednecks out there stigmatizing the mentally ill, saying, you know, you know, your suffering isn't real. And so we need to um you know we need to kind of pedal this narrative. about there being a chemical imbalance and encourage people to take these medications. because mean society out there is telling people to just sit there and suffer in silence and to.
not take the drugs. And so doctors see it as like almost a this is what medical school was like for. me in residency. It's like you don't question the drugs, don't question the side effects. you need. to encourage you need to encourage people to take them. So it's it's hinged away from truth and it. has become more of this this moral issue that at least that's how sounds like a religion. Yeah. I mean that's what that's what decades of drug company propaganda has done to kind of shape the. narrative about how doctors and patients in the media view this issue. So you go to med school,
you decide to become a psychiatrist. Um you spent, you know, go to residency, all stuff. Did anybody during the whole course of that program note that as the prescription. rate for these drugs has risen, so is the suicide rate? No. No, not at all. Yeah. They don't they. don't notice that. They don't bring that up um at all. Isn't the whole like point of medicine.
noticing the connection between behavior and outcome? Yeah. Yeah. People who smoke a ton. of unfiltered cigarettes get a higher rate of lung cancer than those who don't. So that's like that's. why we know smoking's bad. Yeah. You know, you you you just get a a version where it's like yes, you know, mental health is getting worse, but instead of them saying, well, it it's because our. treatments don't work, what they will say is that um you know, the depression is rising. This is a. serious medical condition. You know, it's it's occurring more and more. And us and our drugs,
we are stemming the tide. if if not for us doing this, this would be overflowing and getting out of. control. And so rather than actually reflecting on the fact that things aren't getting better, they are just saying that, you know, this depression, you know, which didn't really happen. that much before, it's just happening more and more and more. And so that's how they justify the. worst. I I get it. I mean, they they're children obviously. It's just you're freaking me out here. because these are like just kind of basic logical questions. Mhm. And the first one is if depression.
is rising and it it sounds like it is, why why is this happening? Yeah. Does anyone ever ask that? Did you hear anyone ask that? I you know I and people do ask this question and I. think it's you know it's it's it's multi and it's multiffactorial. I, you know, from my vantage point, depression is rising because our treatments don't work and they.
may actually make people worse. But then there's also very legitimate things going on in society. that makes depression rise. You know, housing is unaffordable. There there are real things going. on that are also making people societyy's getting crappier and more dysfunctional. That makes people. sad. I get it. Mhm. But I it just seems like if you're treating an illness, the first question. you would ask is like, where did this illness come from? Yeah. Yeah. No, you would be shocked if you.
could be a fly on the wall in what happens during like psychiatric interviews because this is this. is what happened. Uh this is what I observed. I so I came out of medical school really excited to. do psychiatry, you know. I like I'm going to help people with depression and anxiety. I've always. been someone who's been really interested in self-help and you know philosophy. Yes. And then I get started and during my internship what I see is that we spend we spend hardly any.
time actually understanding our patients. The the interaction is extremely transactional. You might. spend 40 minutes during an intake with someone um but you're hardly going to understand their. relationships. you're hardly going to understand their work life. There's very limited time to. to know what's going on with them healthwise and whether they're using any substances. The visit,
it's almost like a checklist. And and what I was witnessing is we weren't spending any time really. trying to actually understand the people and and their lives. And we would just default to using. medications because it was really quick. And the way we justify doing this is that we have this. book. It's called the DSM and you can diagnose people essentially off a checklist. You know, if you have five out of nine symptoms, you can say that person is depressed. And so you. just ask them what symptoms they have. You don't have to understand the complexity of.
their life. And then you say, "Okay, you've got major depressive disorder and we've got. this FDA approved treatment over here. We have this drug that's safe and effective.". And it allows you to be kind of like medically justified in having these very transactional. visits and just like putting people on meds and it just churns them through the system. Um, and so doesn't sound like there's a lot of concern for the patient. Well, the way it's the.
way doctors are trained nowadays is to view these issues as medical issues. So, so why be concerned. about their life if the person is just suffering from a brain illness and you've just diagnosed it. with this checklist of symptoms and there's an FDA approved treatment. You think that you are caring. for the person and doing the justified thing. But what does it say about the way these physicians. feel about human beings if they sincerely believe that something as complex as a human emotion has a.
purely organic origin that they can't define? By the way, I mean, none of this makes any sense at. all. Yeah. If there's no difference between the brain of a depressed person and a happy person, then you you can't really say there's a there there's a known biological cause for depression. Like, you just can't say that because you can't show it. But but even bigger picture like just. being a human being, you know that all of this is just wildly complex and there are libraries full.
of novels written about, you know, human emotions, human experience, relationships. It's like if. you've gotten to a place where you're just like, well, you you need an adjustment of your seroton. serotonin levels, you're not treating people like human beings, right? No. Yeah. I mean, you have. a very reductionalistic view of of of people of people. Yeah. And um I think it's very sad. um and scary and scary that the people, you know, the experts who lead the mental health teams,
the psychiatrists, and that they that they have such little care and appreciation for. those issues. It It's very scary. I It feels sad to me. So, here's a company we're always excited. to advertise because we actually use their products every day. It's Merryweather Farms. Remember when everybody knew their neighborhood butcher? You look back and you feel like, "Oh, there was something really important about that." Knowing the person who cut your meat. And at some. point, your grandparents knew the people who raised their meat so they could trust.
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So, tell us like, okay, so you're excited to become a shrink, a psychiatrist. Mhm. Um, sounds like for all the right reasons. You want to make people better, happier, more fulfilled, add purpose, all the good things. And then you wind up on this podcast with a totally. different view uh of how your profession is helping or not. How did you get there? Well,
what I what I started to notice in my intern year was that it just it does not work. And I mean this is the heart of it. You put people on these medications without understanding why. they're unhappy, you know? And so so firstly, it's like how could you expect to fix someone. if you don't understand why they're unhappy? Exactly. And then so putting that issue aside, like maybe we're just okay with like drugging people, you know, that they have unhappy,
you know, they're unhappy and we put them on medications. Maybe that's okay. Although. I don't agree with that. Um the drugs, they just wear off over time. You know, you put some you put someone on five of Lexapro, you know, a starting dose. 6 months later, the effect has usually worn off and they need a higher dose. You know, 12 months after that, they need a higher dose. And eventually, they're maxed out on it. And the person will say to you, I don't even know what this drug is doing anymore. Um, or it's hardly doing anything. And so, at.
that point, they ended up getting put on more and more medications. And eventually you have people. on five meds and and the drugs aren't really working. And so I would see this pattern where, you know, you put someone on a drug, you get this honeymoon period where, you know, and and and they work. You know, this this isn't a placebo thing. Like these these drugs, they they. turn down your emotional range. They are numbing. And if you're someone who's seriously anxious, you. will experience that as therapeutic, maybe even life-saving, instant relief. Yeah. Well, sometimes.
a couple of weeks, but practically instant. Well, in for bzzoiaspines, it's like instant roll. Yeah, for benzo instant. For SSRI, usually a couple weeks. And so people, you know, they'll get this. experience where they say, you know, this drug has saved my life. You know, that I'm more functional. Yeah. During the honeymoon period where where your body hasn't adapted to it because our bodies, they just adapt to the drugs over time. And so I would just see them wear off and the people.
would start accumulating more and more drugs and then they would get slowly sicker. Um, and I'm thinking to myself, sicker by which you mean what? Like mentally sicker that, you know, more fatigued, more brain fog, more depression and anxiety over time. And I saw that a lot. Lots of. my patients were not getting better um on on these regimens. And so I would talk to my attendings and. I would say,"Well, this doesn't really seem like a sustainable way to help people, you know, putting.
them on drugs that they that essentially wear off over time and they end up sort of stuck on and and. and they look worse." And they would tell me, you know, "Don't worry, Yseph. These drugs are safe. and effective. You know, they're they're approved by the FDA." Do they actually use the phrase safe. and effective? Yeah. Yeah. They actually use that phrase. They use that phrase. Exactly. These are. safe and effective. that they are approved by the FDA. Nothing to see here. Don't worry about. it. Why would you why would you be concerned about this? The authorities have spoken. Um,
are these actual doctors? Yeah, these are these are professors. They look at you in the face and. say, "Don't worry, Yseph. They're safe. They're safe and effective." Yeah. Yeah. Just freaking. me out. Yeah. Yeah. And so, I think I'm 26 at the time, but this does not sit right with me. And I get And so, I decide that um, you know, who who am I? Yeah. I I don't understand this. research. I'm going to become an expert in it. And so after residency, I go and I work for um Jansen, which is the pharmaceutical arm of Johnson and Johnson. And I get involved in clinical.
development there doing a fellowship so I could see how the pharmaceutical companies develop the. drugs. I stay there for a year and then eventually I go to the FDA and I become a medical officer in. the division of psychiatry where I'm overseeing the safety of the drugs on the US market. And it was by going through that experience and actually seeing how these drugs were developed. over time that I realized that we are practicing so far outside of what the evidence shows like.
in an insane way. Like outside of science. Outside of science. Yeah. Like the like the. like the whole idea that it makes sense to put someone on an SSRI for years at a time is not. supported by the clinical research at all. It's a complete like guinea pig uh like you know it's. it's an it's an experiment. It's an experiment happening on a mass scale. Millions and millions. of people. Millions and millions of people. Yeah. So you know I said before you know about probably.
between I mean let's just call it 20% you know 15 to 20% of people are on these medications. Half of. the people that use anti-depressants are on them for over 5 years. And so, you know, maybe seven, you know, 7 to 10% of Americans are essentially on an experiment um where there's no clinical trial. evidence that says that these drugs are safe. You know, that the scary thing is, you know, when when my doctors used to say to me, these drug these these medications are safe and effective,
the thing that they would leave out was for the 12 weeks that they were studied in the clinical. trial. That's like and then when you look at the research, there has never been a um a randomized. control trial that has gone that has looked at this over 12 months. And 12 months. But you said. there are millions, tens of millions of people on this for years. Yeah. Taken them for years. And. it is and and this is just insane because anyone who has their eyes open will see that these drugs.
clearly wear off over time. I mean, that's why you have to keep on going up on the dose. And. so it would be really important to actually see how effective these drugs are over time. Well, why wouldn't they? They have the the sample. It's right here. It's in America. There's a lot. of people to choose from. Yeah. Uh they don't do it. Um and and a lot of this happens just because. of precedent. And and there's a complete lack of backbone and leadership at the FDA to actually.
um improve the way these drugs What was it like? You spent a year at the FDA. What was that like? Yeah, it was really concerning to be honest. Yeah. Um, when was that? Uh, 2020, 2019 to 2020. Yeah. Why was it concerning? So, so FDA receives a lot of funding from the pharmaceutical industry. Um, and I'll talk about a few things uh here. Um, so I've always been interested in drug safety. That's.
actually what I do now. you know, I help people come off meds after they've had side effects. So, that's always been my my interest. One of the issues is when because the agency is funded by. the pharmaceutical industry through PDUFA, this is a congressional like, you know, law. Uh I. think they have like 70% funding. What it does is it tilts the agency towards certain activities. So when pharma hands over money to to the agency, they say, "We're going to give you this money, but.
every time we give you an application for a drug, you need to review it within 9 months because, you know, our patents are going to expire, and so you need to get it done in 9 months. Every time. there's a protocol that comes in, you need to look at it within 30 days." There's nothing, I think, on face, you know, that bad about it. Hey, it makes sense. There's commercial interest here and. they want to get something. But what it actually does at the reviewer level is that all of our. resources go towards drug development activities. And so we're reviewing protocols for the drug.
companies rather than following up on safety issues. So there could be something like, you. know, PSSD, which I' I'd like to talk about later on. It's a serious sexual dysfunction problem, or all these different side effects going on that need that need reports and that need attention. from medical reviewers. Those were all just put on the back burner. they were neglected because. the way success in our division was measured was whether was that we were just getting these.
things you know these activities done on time and so there was much more of an emphasis on. drug development activities. Now, the other thing that was really disturbing about being at the FDA, um, it it's not so much the agency, but it it it it kind of speaks to academic psychiatry as. a whole. Now, you know, as I mentioned before, many I I think we're almost brainwashed when.
we go through our training to internalize these beliefs. you know, you know that these. psychiatric conditions they kind of morph and they evolve and they can get worse. You know, criticize the medications is to be morally bad and to be stigmatizing the mentally ill. and scaring people away from medications. Lots of academics, they end up working at the FDA. That's. just a natural progression for them. And many of the people there had those beliefs. And so. I didn't actually when I looked at um the a lot of the colleagues that I was working with there,
they were so hesitant to call out problems with medications. Um I think the the cyn the really. cynical side of me says, "Oh, maybe there was like a laziness component because if you identify. a problem, you kind of have to deal with it. You have to do a report." But I actually think it was. more that they had been so kind of sucked into this narrative that they almost they needed to. protect the drugs and they needed to um yeah they needed to be kind of advocates for them. So rather.
than actually doing good science and really having a critical look at all of the problems that were. happening with them like the withdrawal problems like PSSD really clear issues they they were so. hesitant to call people out call call it out. So I I feel like it it had it had been captured by. industry just through a lot all of that messaging. We did an interview with a woman called Casey.
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sleep, etc., etc. It's easy to use. It gives you powerful personalized health data. Then you can. make much better choices about how you feel. And over time, it'll have a huge effect. Right now, you can get an additional two free months when you go to levels.link/tucker. That's. levels.link/tucker. This is the beginning of what we hope will be a long and happy partnership. with levels and Dr. Casey Means. Okay. I'm not surprised by that. That's known, as you well know,
as regulatory capture, and regulators are cut off from the effects of the drugs that. they're regulating because they're not treating patients. So, I'm not making excuses, but I I. I'm not surprised. What I am surprised by is the behavior of clinicians, of physicians prescribing. these drugs to individual people with whom they're in regular contact, and they somehow don't notice. that these people are not getting better and then killing themselves or going through all these. other problems that uh are the results of side effects. Like, why don't the doctors notice this?
um like where are the where are the decent doctors? So there are some I mean there are decent. doctors out there and people are waking up to this but a lot of the rank and file uh physicians again. they they have been marinating in a in a soup of um just marketing messages like when when you see. someone who is getting worse like you you put them on an SSRI and they have a manic type reaction to.
it um rather does that happen? That does happen. Yeah. this is a this is a side effect rather than. saying oh we we made you manic because we put you on this SSRI you can just say you have bipolar. disorder you know you were depressed before but you know now because you're manic you have bipolar. disorder there there was always this tilt towards viewing worsening as the underlying condition. um and and so so many people are trained in that way um that is there evidence to support that no.
there's no evidence to support it it's like that. I mean the whole diagnostic criteria in. psychiatry it's just it's completely subjective. It's just you know you just kind of do you have. these symptoms? Okay, maybe you have bipolar disorder. And there's a very limited education. about the side effects. Um, it's also easier for doctors to look at worsening as the development of. a new condition because what that means is one, you know, I'm not at fault, you know, because,
you know, put this person on the drug and they're worse. But two, if I just diagnose them as having. a new condition, I can just hand them another drug. It's it's very kind of quick to just say, "Okay, well, now you have bipolar disorder. Don't worry, we got a drug for that." And it. allows you to kind of treat them in a very quick way rather than going through the mess of saying, "Hey, you know, this was a drug side effect. Now we have to get you off of it." That's a lot of a.
much more involved process. It sounds like the culture of medicine in this country is really. uh kind of antihuman. I mean, like, what about the people? I'm sorry. I'm I'm being mean, but I No, I mean, it is. I mean it's it's it's a practice that has been uh really destroyed by a whole. range of bad influences. I mean one the uh we can't trust our academics because so many of the. academics that teach doctors are actually um on the payroll of pharmaceutical companies. They are.
in positions of power because um of assistance from the drug companies. Um we also have um a. health insurance system that incentivizes people doctors to see patients in the shortest period of. time. You don't you don't get incentivized to make someone well. You get incentivized to to just kind. of churn through them. And so you make nearly like if if you were to see one patient for, you know,
45 minutes to an hour, you essentially make half as much as if you were to just churn through four. patients within that period of time. So, so even doctors have this incentive just to to to default. to the fastest thing, which is to check diagnose someone off a checklist and give them a drug cuz. that's a hell of a lot easier than understanding their life and their relationships and their work. and their health and all of that. Um, and and so that's that's really what's happened. What what.
are the side effects of SSRI? So um there there are a couple but I want to start with one which. really doesn't get a lot of air time and that is actually the effect that everyone has and. so the these drugs they work through emotional constriction and there's an opportunity what's. emotional constriction numbing numbing. So if you're having like a lot of anxiety uh negative. emotions it kind of just sucks it in but it it'll also take out the positive things. So many people.
will experience that as therapeutic, but I mean the risk of this is that you miss an opportunity. to actually address the real reasons um that you're unhappy. Many doctors, they they will not. talk to patients about this. And most people have very clear issues why they're unhappy. You know, they're having problems with drugs. you know, they're they're um they have relationship. issues. They have they have work issues. They they have, you know, they're eating terrible.
foods. They have like massive insulin resistance or diabetes that has completely disrupted the. energy system of their body. And their neurons are just starving for energy. If you're having. these legitimate problems, you just throw a drug on top of it to mask that anxiety that is really. like the smoke detector saying, "Proble, problem, problem." Those issues, they just fester. they. just kind of sit there um and and they just get worse over time. To me, that is the number one.
problem with these medications is that that you you miss an opportunity to actually address the. problem that is causing the anxiety. That seems I now that you're saying it out loud so obvious. Yeah. Like people have anxiety for a reason. They feel sad for a reason that I mean most of the time. anyway. Correct. Yeah, I mean it is correct but to say that some people would say Tucker that is a.
really insensitive thing to say these people have medical problems you know there and and and that. is what but you could say sure it's a depression's a medical I'm happy to I'm happy to acknowledge. it's a medical problem with dire con once you kill yourself it's very serious it's it's not you know. reducing the seriousness of it or dismissing it as fake it's acknowledging just how real it is. It's more real than a serotonin imbalance. It has to do with like Yeah. your life. Mhm. So,
I just can't believe there are people that stupid and shallow practicing medicine. Yeah. They've. done a number on us. Yeah. Cuz I mean there not a lot of dumb doctors. They're all pretty smart, right? The screening it's for intelligence to some extent. But like that's just so shallow. I guess that's what you mentioned religion. I mean, I think we're ideologues in there. We've been we've been um pushed into thinking about mental illness essentially in a way that.
benefits drug companies and um and a profession because psychiatry as a profession is also really. into pushing this narrative because it gives us a primacy amongst their health care professionals. to say that's right we are the doctors and we have the drugs and and because of that we need. to protect the reputation of the drugs because to do so is to elevate us. So that is really deep and. smart. No, that's right. Because psychiatrists in this country anyway are unique among mental health.
professionals in that they can prescribe the drugs. Yeah. That's what makes you fundamentally. different, right? Yeah. Yep. Yeah. And so yeah, there's there's there's guild interests at play. as well. Guild interest, I'm sure. Yeah. Right. Because the marriage counselor can't give you. SSRIs. Yeah. But you can. Yep. And that's why we're special. And that's why don't question. the drugs. Wow. That's so plausible. Yeah. So the first what you describe is the first side. effect is effectively ignoring the cause of the illness in the first place and that has costs.
Yeah. And you know I'm going to mention a whole bunch of other things that are important. We've. got PSSD. We have brain damage during withdrawal. We have uh homicidal behavior. Okay. So let's just. let's let's go in order. Yeah. Yeah. PSSD. Yes. So this is what does that stand for? It stands. for post SSRI sexual dysfunction. Um, and from my perspective, this is the biggest scandal in. psychiatry going on at the moment that that has been not discussed. Now, there are people who get.
put on these medications that um well firstly when you one of the big side effects of these. medications is sexual dysfunction. It happens in I think it's like like 70% of people who. die. 70%. Yeah. Yeah. So, and when you say sexual dysfunction, since you're a doctor, we can just be totally blunt. What are you specifically you talking about? Yeah. So, so, uh, it would be like loss of interest in sex, you know, uh, loss of arousal, difficulty to,
uh, to to reach climax and erectile dysfunction. Wow. Yeah. 70%. 70%. This is a a really normal. side effect. Um, and but the issue is we tell people that this goes away when they come off. the medications. And this is just a temporary tradeoff. You know, to feel less depressed, you're going to deal with the sexual dysfunction. But what we've been seeing is that um these drugs. are causing permanent sexual dysfunction and people even when they come off of them, they.
develop um you know, on top of all of those things I mentioned, they will develop genital anesthesia. And so this is a real like neurological issue like the those areas down there they they they lose. erogenous sensation. People will say that when they touch down there it feels like the back of. their hand or the back of their arm and so there's sensory changes. Are you serious? Yeah. And and so. so it's totally frightening. But for how long? It can be permanent for some people. Come on. Yeah.
And so um the prognosis is actually really it it's not good for that. I I you know some people will. recover in you know 3 years or so but there are case reports out there where this has gone on. for decades but yeah but it's not just that and here is the basically you're castrating people. You bet you're essentially castrating people but it's worse than that because how could anything. be worse than that because along with the sexual dysfunction um and this is where the condition is. is misunderstood. People think it's just a sexual problem which is already horrific as is. It causes.
um it causes cognitive damage as well. People will will along with that they'll have difficulty. severe difficulty concentrating, focusing, paying attention. And there's also severe. emotional blunting. And so people will talk about being completely dissociated as well. uh from their emotions. Like if you were to hug a child, you know, your child or your wife, you you just don't feel anything warm. If you were to hear a favorite song from your childhood that.
you know used to make like the back of your neck kind of prickle from nostalgia, all of that gets. like nuked and and and and taken out. And so you have people who are essentially labbotomized with. cognitive impairment who actually who also have severe sexual dysfunction. So you're basically. destroying someone's soul. I mean the things that make you distinctly human. Yeah. your your love, your emotional response, your sexual response, which is very deep. It's not just I'm horny.
today. It's like it's your life force. It's your procreative force. It's what keeps the. species alive. That's gone. It's it's wiped out and and people become highly suicidal because. when you don't feel anything, you don't feel any connection to life, it's it's like there's. nothing to live for anymore. And so the suicide rate in this population is through the roof. And and I want to say something a second. And this is all confirmed. Yeah. So So that's what I want.
to say. Some people hearing this would be like, "This is so crazy. There's no way this could be. true." Yes. That that's my response. Yeah. PSSD is a listed side effect in the European Union. So the European Union has already acted on this. They've put it in the warnings and precautions. of all of the SSRIs and SNRI anti-depressants over there. So they have recognized it. Canada. has recognized it. Australia has recognized it. Hong Kong has recognized it. The New York Times. has run pieces on this. It's this is being reviewed by the FDA right now. This this is.
like this is not a fringe issue. This is something that several regulatory agencies like the biggest. ones in the world like the European Union, second biggest regulatory agency in the world, they have. acknowledged this and they put this in the drug labels to warn doctors um so they can talk to. their patients about this. This this isn't fringe. This is completely acknowledged um by major health. regulators, but doctors do not tell patients about it. Doctors know. Most of the doctors.
don't know. And that's because well, there is no incentive to get this message out there. Now when. this came on um so when the European Union Wait, so there there's a huge population of SSRI Unix, many of whom kill themselves out of despair caused by SSRIs and yet for some reason nobody knows this.
is happening. I'm con I'm confused. Like why don't people talk about this? Again, it's it's. this issue where um I think media doesn't want to touch it because to do so would be to scare. people away from life-saving drugs. You should be experiencing comfort every single day of the. year. And it should not be something that happens every so often when you get home from work. No, all the time, no questions asked. And that's why we recommend Cozy Earth. Cozy Earth makes bamboo.
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heard about Cozy Earth right here on this podcast. Built for real life, made to keep up with your. life. Cozy Earth. How are they life-saving if they hike the suicide rate? They're clearly implicated. in mass shootings. Let me say that again. They're clearly implicated in mass shootings and. they castrate people and make them want to kill themselves. Like, how is that life-saving? I mean, it's just a slogan because they're not life-saving at all because when you look at um actually, you know, the clinical trial data, um it's clear evidence that people who are under age 25, it.
actually makes them they engage in more suicidal activity than the people on placebo. It's it's. absolutely insane. Um and then when reanalyses have been done looking at the adult populations, they also find higher rates of suicide in the clinical trials. these these these but I want. to have some nuance here. They can be experienced as life saving for some people. Like if you have a. lot of anxiety and you get put on this medication and it blunts it, you will experience that at life.
saving as as feeling life-saving in that moment. But in general on a population level, they're. actually contributing to more suicide. I feel that way about vodka. Yeah. Really strongly. I'm being. serious. Not any heavy drinker can tell you. You wake up and you feel completely out of control. Completely out of control. You know, you just feel like your head's going to explode. You got. pins and needles, anxiety. You just you're you're so sensitive. You can't even like live in this. world. And you have I was a double screwdriver in the morning guy. Mhm. Solves the problem like.
right away. You by the time you get to the bottom of the glass, you're under control. Mhm. So I. would call that and in fact at the time did call that life-saving. Yeah. And then of course the. progression of alcohol and alcoholism is is well known to most people. So it's like people laugh. at you and you say it's life-saving. How is vodka in the morning life-saving? Well, if you know if. you've experienced it, you know why someone could say that. Yeah. But big picture that's insane. So.
SSRI sound like exactly the same phenomenon. It is. I mean on multiple levels I think you know. they one they make you ignore the real problems which fester and get worse and could actually. push you eventually towards becoming suicidal and two I think they they disrupt your brain chemistry. over time and actually make you more likely to be depressed and develop other issues. I just can't. believe ba the basically the entire weight of the American medical establishment, the regulatory.
bodies, the some of the biggest publicly traded companies in the world, they're all basically. prescribing vodka to desperate people. It sounds crazy. Um, and I it does. It honestly does sound. crazy. And people are going to listen to this and they're going to say, you know, this is crazy. Um, but the beauty of it and the reason I feel so good about having this conversation is that. it's provable. We don't have to guess because we have the outcomes. Mhm. Right. So the two numbers.
it's as a layman that seem relevant to me doses prescribed suicide rate. Like that just seems like. a pretty big picture way to measure success. If more people are killing themselves as you got more. prescriptions for this garbage, it's at very least not working. Can we say that? I mean that seems. logical. I think it makes sense when you look at that on the population level, but I also think it. makes sense intuitively for a lot of people. I mean, with I mean, with nearly, you know, 15 to.
20% of people being on these medications, everyone knows someone who's on these drugs in their. family, in their in their social circle. Just look how are they doing? Are the are these people. thriving? You know, a lot of the times, I mean, the stories that I hear is that person's not doing. that great. you know, they or they they've slowly gotten worse over time. I mean, you can look at. it at a population level, but this issue is so common. People actually see this in their real. life uh in in the people that they know. Have you ever spoken to someone who had numb genitals or no.
sex drive? Yeah, I've spoken to probably 20 to 30 of them. What What do they say? What's that like? It's like they wake up in a horror movie. Um I you know, I think about a woman named Rosie. Um, and I. interviewed her and from my recollection, I mean, she so she she got on one of these medications, beautiful young woman, and she ended up developing PSSD. She told the doctor that it had happened.
to her and she became incredibly distressed. You know, what is happening to me? Um, her sex. drive just gone. Sex drive gone. Cognitive damage, emotional blunting, completely disassociated from. her family from from her emotions and disconnected from her life. The doctor involuntarily. hospitalized her, saying that she was delusional and that she had health anxiety and tried to. pressure her onto antiscychotic medication because they just they simply did not they they could not.
accept that this had happened. They managed to briefly turn her family against her and just say, you know, she's she's wrong. She's delusional. She has another psychiatric condition. And so she ends. up in a psychiatric hospital. Talk about a horror show. You get put on a medication that's meant to. help you. It destroys your nervous system and and then a doctor involuntarily hospitalizes you and. turns your family against you. These people literally wake up in a horror show. I spoke. to another person in India. Is the doctor still practicing? Oh yeah, they didn't. Yeah, they're.
still practicing. And this is not isolated. I spoke to Why is that person not in jail? [Music]. You know, it's that's so cruel. That's criminal in my opinion. So yeah. Um. sorry I'm interrupting. I'm getting to be mad again. Um you spoke to someone in India. Well, the same thing happened. Yeah. It you know because you know doctors they they've never heard of this. condition before and it just seems like you know too too crazy to be true. How could these.
life saving drugs, you know, do something like this? Um and the same thing happened. you know, he ended up being involuntarily hospitalized, this this young man, for months. Um, and his family was turned against him. He kept on trying to tell them that this had happened to him, and it took them months to to let him out. And and and and so, yeah, it's it's it's about the worst thing that I could ever imagine happening to someone. And.
they lose people all the time. Uh the suicide rates out of control in in this population. So, a doctor who refuses to see the obvious and is committed knowingly or not to a lie, it seems to me it would be likely in a case like this to prescribe a drug on top of the drug that. it clearly caused Yeah. the symptoms he's trying to treat, right? Yeah. What happens when you do. that? A lot of these patients seem like they're on all kinds of different drugs. How do they interact.
with each other? What's what's the effect of that? Yeah. I mean, you I mean, it's it's awful, right? You know, you have someone who's highly distressed for legitimate reasons with a with a totally. messed up nervous system and you've just thrown them on an antisycchotic. So now they're kind of. like blunted and even more dullled uh dealing with the same problem. So if these drugs can eliminate. your sexual response, numb your genitals for life, drive you to suicide, what other is it possible. that they have other sexual side effects? Well, having spoken to um some of these PSSD sufferers,
um I've had two men, a heterosexual men, tell me that they started to question their sexuality. um because of because of all of the the blunting that was going on. These were men. who were having encounters with women that they were just saying, "I would find this person very. arousing and attractive, and that's not happening anymore." And they start wondering whether they're.
gay. And so I think on that level it can make people feel asexual. It can make people start. to question their sexuality. Um you know which I've directly seen. And then the whole other issue. which is even more frightening is the is the data that's coming out is some of the animal studies. um about what happens to to mice who were exposed in uterero to anti-depressants. Uh because this. has always been a question that people have been curious about. You know, is there like what are.
the effects of exposing a developing nervous system during this period of life where it goes. from being like a speck to a fully formed brain in 9 months? You know, these drugs freely crossplac. Yeah. All psychiatric drugs freely cross. So mothers taking these drugs, the drugs are in the. developing child. Yes. Yes. We know that. Yeah. Fact. Yeah. But no studies been done on what that.
means. Well, there have been some studies um and so um firstly there's the so there's the studies. in in in rats um and mice and what they find is that the mice who are exposed in uterero they grow. up with a higher rate of autistic like behaviors and also decreased sexual interest. So they mate. less than the other mice. Now you might be saying hey well that's just mice. Who knows if that. happens in humans? I tell you what, I'm concerned enough about that already to to worry about. humans. I don't need to see that human study, but we do have some studies in humans. And what we've.
uh and what they've found is, you know, we have 12 MRI studies that have controlled for depression, which is essentially just a fancy way of making sure that depression isn't a factor. and and they. they've looked at the brains and they find that there's structural changes and functional changes. in the brains of of of kids who are exposed versus those who are not exposed. They've then.
gone again and looked at this when they when the kids have become adolescents and they've looked. at their sensory processing and the kids who were exposed growing up um had altered sensory. processing when they looked at the amydala. It's a part of the brain that's uh responsible for. uh um high emotions and and those changes they have correlated with worse mental health outcomes. Um, so that's like a whole another topic that I was recently at the FDA talking about this with.
some of my colleagues that many women are not actually being told that uh there are real risks. um to you know to your child if you if you take these medications um when their nervous system is. developing. Are they prescribed to pregnant women? 10% of pregnant I I think 9 or 10% of pregnant. women are taking anti-depressants. There's been a massive increase in uh well sexual changes of.
all kinds um in the way that people couple in the way you know literally in the way they have sex in. the outcome that were children who were born and in selfidentified sexual orientation. a massive. increase in homosexuality, massive increase, like mind-boggling increase in transgenderism. No one. seems interested in why. Mhm. Is it possible that if you've got 10% of the population on these drugs. that that there's a connection there? I mean, that's that's I I think that's something to be.
explored because, you know, yes, you could make an argument, okay, the world is more accepting these. days and and and maybe people are coming out, but that's [ __ ] The numbers are so high that that's. not it. But I'm looking at these animal this these animal data. I'm I'm seeing changes in in sexual. interest in the mice who are exposed growing up. I mean, we're putting kids who are seven, six, seven, eight, who go through sexual maturity with their sex drive essentially blunted from.
these medications. Um, I' I'm having people come to me and tell me that they're questioning their. sexuality because they're not feeling attraction and arousal, right? You connect the dots. I mean, it has to be playing a role. Is there like currently an NIH study of this underway? Is. anyone saying, "Hey, wait a second." Like, you could change the future of humanity with this. kind of stuff. This is like big consequences. No, I mean, the NI the NIMH has essentially.
been useless. I mean, they all all they do from from what I see is they they they just they're. essentially just looking for drug targets in the brain. They're not doing any research into side. effects. They're not doing any studies comparing non-drug alternatives to drugs for the treatment. of anxiety and depression. They are so captured and just obsessed with finding the next target. to throw a drug at. Um I think the American public has been betrayed by the NIMH. I really do. Well,
sounds like a lot of people have been killed. What about um going back to the question of. side effects? Um, I I don't think every time you you raise the question like, "Hey, it seems like a. lot of the school shooters that we know about, to the extent we know anything about a lot of them, um, they seem to be on these drugs." Mhm. Has there been research into that? I know you're. not allowed to say that. YouTube like shuts you down if you say that. I don't know why. Yeah,
we're we're throttled for sure, you know, but for for asking that question. Yeah, for asking that question. Yep. Yeah. There weren't school shootings, you know? I mean, the biggest. school shooting of like American history took place at the University of Texas. Chuck Whitman, who turns out he had a a brain tumor. So, there was like there was like a reason that. that happened. Went up in the bell tower, killed all these people. Then there was a lull and then. Coline happens and then there's like probably many reasons for this. But the increase in school.
shootings coincides with almost precisely coincides with almost precisely coincides. with this massive increase in prescription of these drugs. So like is anyone studying this? Well, it's actually really hard to study is is the issue. Um so I want to say this because this. is you know a topic you know I don't think drugs are involved in all the school shootings. I do. think there is a social contagion element to it. But I I do think if you just if you look at the.
side effects of all of these medications, they it's already in the label. You know, if you look at stimulants right there, it says it can cause aggression and hostility. If you. look at antiscychotics like Ailify in the label, it says it can cause aggression. If you look at. the anti-depressants, it also says it can cause mania and aggression and agitation. And that's. kind of the opposite of the intended effect. No. Well, what these things are are paradoxical side.
effects. And so, and maybe an easy way to think about it is if there were 10 people in a room and. there was smoking cannabis, you know, you might have nine people giggling and you have one person. becoming paranoid, there's something just about that person's genetics and the way they respond to. it that they have the opposite reaction. Yes. And so, that can happen with psychiatric medications. And so these are rare side effects, you know, um, and but if you're putting like, you know,
15% of the population on these on these drugs, rare side effects are going to happen. Um, and you. know, so the next thing is, like I said, we know these these drugs can do this. Well, has this ever. actually happened? And it has because, you know, there's there have been lawsuits. For instance, there was one in the early 90s um a it was the Tobin case. There was a gentleman called Don Shell. um who had had a bad reaction to Pax he had a bad reaction I think to Prozac and then he was put on.
PEL um many years later and shortly thereafter he became incredibly homicidal and he killed. his wife, his daughter and his granddaughter and then shot himself. Um, now the son, the surviving. son-in-law, the the husband of the daughter who he killed ended up bringing suit against, I think it was Smith Klein at the time. It wasn't GSK. Um, they go to a they go to a jury trial and.
they and they win. Um, it gets it gets appealed and then the the appeal isn't successful and and. he ends up getting paid out. And so we even have I mean we have legal cases where jurors. have listened to the evidence of these cases and said if not for this drug you know this this awful. murder suicide wouldn't have happened. And so we know this happens from court cases and there. have been many other cases like this. You just never hear about them because you're not allowed. to talk about this. Uh why would this video be throttled for broaching this topic? I'm confused.
Well, because I mean the dominant narrative is essentially that school shootings are caused by. guns. And if you are to I have a lot of guns. It's never occurred to me. Yeah. And and so that I mean. it's it's this is meant to be stigmatizing. This is meant to be something that scares people away. from medications and it doesn't fit the mold. Um I mean because to if you were to accept that this.
this can happen you know like if this even if this is a one in two million type side effect that's. still happening a couple times a year that people are becoming homicidal on on these medications. Um and so I think people they don't you you you just can't say it. It's it's it's it's taboo. Um, it shouldn't be if you care about the murdered kids at, you know, the schools. Um,
it's changing though and and this is like a silver lining here that will make people like me seem a. lot less crazy because through bipartisan support, the governor of Tennessee just uh instituted a new. law mandating that following school shootings, there needs to be an investigation into the. use of psychiatric medications. this is the first state to actually try and get that data. um uh to look into it because often times it's you know it's redacted the FBI has it they.
don't give it to anyone it's kind of like shoved away in a box but in the state of Tennessee with. bipartisan support they will now look at this for any school shootings good good so what okay. um you are you know middle-aged person going through the middleage you know the litany of. middle-ag age drama and you find yourself sad, maybe even depressed. You go to the shrink and. you are prescribed drugs. What are the most commonly prescribed drugs? Which are the.
drugs you should be the most afraid of? Assuming there's a difference. I mean, I think the SSRI, we've talked a lot about them, but the other class are benzoazipines. These are awful drugs. Uh. they're usually used for an anxiety and insomnia. And what are the brand names on those? Xanax, Clonopin, Valium, um, Tamasipam. Yeah, very common drugs in this country. Really? Yeah,
their use is declining. Um, but they are still they're still quite common. The main issue with. them is that they go, they feel good. And I know we were talking about this before and. you had mentioned taking one before. I mean, it's it's I've taken them. It's almost like. immediate like you take I took one in high school. I never took another one because it was the most. profound. I mean they solve all your problems in like 4 minutes. Yeah. So super addictive,
right? You know, to to have something like that on hand. But the real problem with the. benzo is when it comes to coming off of them, they can be incredibly difficult to stop. Um, and what does that mean difficult to stop? uh that so because they have such a potent sort of. anxiety reducing and insomnia uh and sorry a sleep inducing effect when you come off of them your.
anxiety goes through the roof and and you develop severe insomnia. Some people even die from coming. off benzoazipines. It's it's so jarring to the brain and because of that people can get trapped. off the drug trapped on the drug every time they try and come off of it. it's so uncomfortable that. they have to go back on. And they can also develop another condition called uh protracted withdrawal. And so some people when they've been on this medication for years and they try and come off, they develop a kind of a brain injury. And so they they taper themselves off the medication.
too quickly um and they go into a severe withdrawal and it and the symptoms never stop. They they end up with ringing in their ears, light sensitivity, cognitive impairment, severe anxiety, burning in their hands and feet. Oh, come on. Yeah. And then they say to themselves, they go, "I'm just in withdrawal. You know, I've been white knuckling through this for the. last couple of months. I'm just going to start the drug again. I don't want to deal with this. anymore. I'll I'll find another way to come off." They start the drug again. It doesn't go away. Um,
and this is Wait, the symptoms don't go away. The symptoms don't go away. And this is these are the. patients that I actually treat in my practice. I'd say probably 70% of the people I work with. now have neurological damage from coming off benzoazipines and SSRI medications too quickly. Um thankfully it actually has a I mean it's awful. It it has a decent prognosis. Most people recover.
from it within 2 years but for many people it can be two years of severe disability. Um, and these. are the people you treat. These are the people I treat. So, you see this? So, I see this on a. daily basis. I see this multiple days a week. Uh, people who have brain damage uh from coming off. these medications too quickly. Now, again, I know most people haven't heard about this before, so. they're going to be listening to this and saying, you know, this is crazy. You know, how could I. have never heard that coming off these medications could induce brain damage? Read the drug labels.
in in the US. every single benzoazipene um has a section in there that says that talks about the. risk of protracted withdrawal. So what does that look like? So describe obviously anonymously but. like the experience of one of your patients. So the experience of one of my patients is man. I mean it's it's it's so it's so bad. uh you were living your life one day you decide to.
come off a medication and then before you know it your whole life is turned upside down. Uh. your brain you are gripped with severe anxiety and obsessive dark thoughts that just torment. you all the time. You never have a moment of rest or relaxation. You you simply cannot relax. Some.
people feel so keyed up that they pace incessantly in circles. It's a condition called acthesia. Um. um and they they cannot stop moving. They become social recluses because they cannot go out in. public because it's too bright, it's too noisy. The the nervous system is like a snail without. a shell. Even interacting with people in their shopping center can cause like you know surges.
in adrenaline. Uh people have severe neuropathic pain. They when you know their feet burn um and it. destroys families. I mean people become disabled. Um people take their lives uh frequently. Um, and this is, you know, I know I mentioned before about PSSD being like the biggest story going on, but this this would be just as big. Honestly, there are probably millions of people who are.
suffering from protracted withdrawal from benzo or SSRI. Um um thankfully this has actually been. picked up a lot by um major uh news outlets um recently but it's this condition has and. it and it and it does kill people. It how long do you have to be on benzos or resus to develop. physical dependency and to get these kind of withdrawal symptoms? So most people it's several. years and then uh it's triggered by coming off the medication. several years. I mean, yeah. Is there.
any evidence it's a good idea to put someone on a srise or benzo for years? No. No, there there. isn't. But I do want to say I I have had some people develop this much quicker than several. years, like within taking the medication for a few months, things like that. That's much less. common. Usually the way it happens is you're on it for several years, 5 years, decades, you come. off too quickly and get hit. Yeah. That's really common. You've seen that. Yeah. Yeah. Decades.
What is the doctor thinking? Well, the when they put them on these drugs for decades. Well, I mean, if someone's coming back to get a script filled, you know, after 15, 20 years of taking. one of these drugs, it's like does no one pause to say, "What does it do to some?" The brain's. not designed for that, right? Yeah. They're Well, they think that they're helping the person. Um, at the risk of getting a little technical, I want to go here because I think it's important. Each,
so when when a drug comes onto the market, there's a study called a relapse prevention study. This is. essentially the rationale for leaving people on these drugs indefinitely like and and so I think. it's important to talk a bit about the design of these studies because it's so it's so telling. Essentially, a drug company will get a group of people and they'll put them on the drug for. like say 6 months. And so you have 500 people on the drug for 6 months. 250 you then this is.
actually how the studies are designed. 250 people at a certain point they continue the drug and the. other 250 they rapidly stop it. Um, and so they pull them off the drug either immediately or at. the longest about 2 weeks and then they watch what happens to those two groups over time. And and they're looking for um how many people become depressed in the two groups with the the.
thinking being well, you know, if the patients who continued the drug become less depressed, then that means it works. But the issue with these studies is that it completely. ignores the fact that people develop withdrawal. And so if you stick a bunch of people on this drug. for 6 months and then you stop it immediately or within 2 weeks, they are going to develop. withdrawal symptoms. They will that will look like a depression. Um and and so the study is flawed.
Essentially, it's it's majorly flawed. It's embarrassing that the FDA even allows this and. that doctors even believe this is a a rationale for keeping people on these medications. Um, and that's it. That is that is the study that lets doctors feel good about filling these drugs up. again and again and again because they say, "Oh, we're we're preventing relapse because this this. poorly designed study that makes no sense. That is honestly just embarrassing even to believe in.".
Uh showed that when you rapidly pulled people off the medication, there was more depressive relapse, which really it wasn't. It was just withdrawal. Um, and so just even at the heart of it is just. bad science and faulty studies. I mean, even I uh as a non-scientist can understand the gaps in. the logic there. It seems pretty obvious that it doesn't make a lot of sense, but I'm fixated on. the worldview that allows this to persist. Like, how would you have to feel about other people to. allow this kind of stuff to happen? And I just want to ask when you were doing your training as a.
doctor for whatever six or eight 10 years, however long it took, did you get a sense that other. doctors considered like the human soul ever? Or is there a sense that people are just like a more. evolved animal? Is there something special about people? Do they have like is there a spiritual. component to a person? Did anyone ever acknowledge that? We no we that's not part of the training. So.
if you think people are just clever cattle you can treat them like this. Yeah. Where you know with. biological systems you know where you can sort of just tinker with it with the right chemical. That's what we are. That's the belief. That's the way biological psychiatry is taught. So it's kind. of inevitable you're going to wind up in a place like this, isn't it? because that that's not true. People are not just machines, right? And no other civilization's ever thought that they were. Yeah.
Sorry, I don't I don't mean to bum you out. No, no, I'm just I'm I'm thinking about I mean, the only reason that happens is because there is such a massive incentive to recast the human. experience in that way. Yeah. Yeah. But it's that's not reality. Yeah. At all. No. Um. Yeah.
So, what about uh amphetamines and their ADHD and the fact that like every third kid on your street. is taking this stuff? Like what what is ADHD? Are amphetamines an effective way to treat it? What are the long-term effects of those drugs? Yeah, I mean ADHD I mean I want to start here. So there was there was an awesome piece in the in New York magazine recently that summarized a.
lot of this research but it really the the thing that most parents care about is usually academic. improvement that that's why they want their kids on these medications. When you look at the results. long term they do not improve academics. What they find is that the medications are mostly. effective for controlling behavior. So when you have kids who are fidgety, who are having to pay. attention to things that are boring, uh putting them on medications makes them easier to control.
Um so if you're like a bad teacher, yeah, they're good. They're good. They're they're great. Um, now. I mean there is some I mean ADHD is interesting because it kind of hits at the um at like societal. expectations like in in the US and in a lot of developed countries academic success is synonymous. with your value as a person. you know, if if you you have to be successful at school um to.
to be worthy. And a lot of parents uh believe that. And so they will push their kids into, you know, subjects and, you know, even university courses um because they want to help them. They. think they're helping them by pushing them into these things. And the kids are really struggling. and they're not interested in it. And you can put someone on a stimulant and it will make something. that's boring more interesting. Definitely. Yeah. And so there's there's also you have the world's. most boring conversations on cocaine, but you have no idea they're boring. Yeah. Yeah. Yeah.
And and so that's that's the same with um with with your studies. Um and then I think another. thing that I believe is going on that really doesn't get enough airtime is that actually a. lot of lifestyle problems are leading to uh ADHD, especially in adults. Um and the main one being. uh poor diet and insulin resistance. You know, as people become insulin resistant, um they end up.
with more anxiety, more depression, and more brain fog. Essentially, they they've they've. broken their body, um because they've been eating too many refined carbohydrates, added sugars, all of that. And it makes it very hard for um neurons to um to to work when when when the system. is disrupted. There's too much insulin. can't pull energy in. And so I think the a lot of people out. there have very legitimate real problems focusing and feeling foggy, but they're not really looking.
at at lifestyle issues that are really clear. Um, and often times people if they do things like, you. know, they they try ketogenic diets. This is like a really big thing in the mental health space and. they work for a lot of mental health conditions because they reverse insulin resistance and they. improve uh energy, you know, the way your cells um um your cells work. And so I think the biggest the. biggest thing that I worry about so that it it does work the low carb diet. Yes. Affects your.
mental health. Yeah. Yeah. Um in a major way. Some people even call Alzheimer's type three uh. diabetes because the correlation between the the worsening of um you know diabetes type 2 and and. your blood sugar levels correlates with cognitive decline. I mean the um insulin resistance diabetes. all has very strong links to cognitive decline. Um, and so when it comes to ADHD, I think the. thing that bothers me the most is that there's there's actually a lot of reversible things that.
you could do there. You can, you know, if you have brain fog, it's not that you're just like, you know, you're weak and you're not um trying hard enough or you're lazy or something like that. I mean, if you if you can if you can look at your diet and there's things you can optimize there, if you can get moving, if you can stop smoking cannabis, um there's a lot of and you know, obviously if you can actually try and do work that you genuinely find energizing and that you enjoy,
you probably won't need to be on stimulants. Stop smoking cannabis. I thought cannabis was good for. you. It's medicine. It's a medicine. It's a herb. Cannabis is actually this is this is you're going. to get me on something that I'm really bothered about. Um is that cannabis is it's a massive. gateway drug into the psychiatric industry. Um it it it is a huge trigger for mania and and. schizophrenia. It's it is completely downplayed by big cannabis because we've decided to legalize.
it in so many states now. Um, and many people they'll they'll end up they'll think, you know, it's it's it's harmless. It's this herb, not realizing that the potency has increased like 40. times uh since what it used to be. And it and it it just it triggers mania and psychosis. And then. the doctors will see them and the doctors will downplay the role of cannabis and they'll say, "Oh, you have schizophrenia or you have bipolar." And then they put them on an antiscychotic. And.
then this person just ends up on antiscychotics for a really long period of time when really the. issue was that they had a psychotic reaction. So you believe that cannabis use can lead to. schizophrenia. I I wouldn't say schizophrenia. I would say I believe that cannabis use can cause. psychosis and that psychosis can endure sometimes for like a year or two after. they have the psychotic break. Um because to say something is schizoph it's schizophrenia makes it.
sound like you know it's a they just had a broken brain you know their brain was broken and it was. just inevitable to happen. I I've worked with patients who have smoked cannabis they've had. psychotic reactions and um even after they've come off the cannabis for a period of like a year or. two they've still experienced periodic uh episodes of psychosis before it fizzled out. The only way I.
can understand that is that that drug when they had that psychotic episode, it actually damaged. their brain. It it was like a it was like a big hit and it took them a couple years afterwards to. fully recover from that. And I've looked into this with many other people who actually work in this. space and they see that when you have a psychotic reaction uh to cannabis, it can sometimes take. months or even a year or two to fully go away. I think doctors misdiagnose that and tell someone, "This is a sign you have a broken brain. you have schizophrenia. Time to put you on the drug. Um,
so you're saying that the drug companies wouldn't necessarily be opposed to marijuana legalization? No. No. It's it's it's it's creating customers. Do you really think that? I mean, I don't know. That's really dark. Well, I don't think they are, you know, I don't know if there's like. a drug company lobbyist out there just being like, "Hey, you know, we really want to kind. of push this knowingly." But it sure helps them that big cannabis is out there and it is sewing.
a message that essentially this these drugs are safe herbs. These drugs are medicine when they're. I mean they're Frankenstein drugs now. I mean they're 40 times more potent than than how they. used to be. So just a bottom line as a practicing licensed psychiatrist would you ever prescribe. cannabis to a patient for mental illness? No. That it doesn't make any sense at all. would you prescribe SSRIs? So, this is where there's a bit more um nuance here. I think.
we have to use every tool that we have and I mean there are a lot of people out there who. will say I mean the the the fact is these drugs have saved people's lives. I I can say that you. know even with a lot of the concern that you know the drug effect wears off but imagine someone who. They come in and they're unhappy and and and this is this is rare. You talk to them about their.
life. There's no relationship issues going on. It looks really good. Work is fine. You've tried to. optimize their health. You've done everything that you could and they're still unhappy. Something is. still going on. You know, maybe they have really severe OCD or something like that. I'm not going to sit there and just say I I'm not going to give you any treatment. If. I've tried all of the non-drug strategies to help you and you're still suffering, I will give you informed consent about the medication. I will put you on it and I'll.
monitor you and I'll I'll do my best to make sure that you're that you're functioning and you know, if there's side effects that come up, I'll catch them early. My issue with the medications is that. they're used first up without anyone trying with with minimal with with lip service really to to. helping people with non-drug means first. But if you've done all of that and it's still not. working, I think it makes sense to to use a drug to make someone more functional. So,
if someone goes to your uh practice, you you said your your current practice is helping people get. off these drugs. Yeah. What does that look like? Like, just give us the kind of typical patient who. approaches you. How long has this person been on the drugs? Why does this person want to get. off the drugs? And how does this person get off the drugs? Yeah. So, a typical person might be a, you know, a middle-aged a middle-aged woman who was put on a medication during a divorce. Um,
you know, she's been on it for maybe 15 years or so, and she's starting to notice that whatever she. does with the medications, it's not working. You know, she, you know, she's gone up on the dose, she's maxed out, she started a new one, and she just feels terrible. Uh she she has she. has brain fog. She has low energy and she feels numb and and she's realized essentially that.
you know psychiatry has kind of failed her you know that the answer to her solutions. aren't really aren't really drugs anymore. And so she'll she'll come to us in this state and. what we do is we look at the drugs she's on. Usually she's on several and then we'll just. start to identify which drug is causing is most likely to be causing a problem. uh the most amount of your problems and we start there and we slowly taper that off. Some drugs you. can taper quite quickly. Others can take years to come off like things like benzo and SSRIs. They're.
much harder and so we'll work with patients for several years slowly untangling the medication. uh regimen. You meeting with them very frequently until we we ease them off. At the same time, we. introduce them to non-drug approaches to managing their mental health. If they need to do dietary. uh modifications, you know, lifestyle changes, if they need to learn some um uh uh sleep, if we need. to look at some of the substances that they're using, we'll we'll use all of our non-drug tools.
while we're bringing them off the medications. How long does it take to taper off the drug itself? So if you've been on these medications for several years, most people are coming off at around 18 to. 24 months. Wow. Yeah. So this this is what I see. And I want to give a bit of nuance here. There's. it's hard to know why it's so hard for some people to come off. I mean,
there are some people, and for reasons I don't understand, their brains are really elastic. They might be able to come off a drug that they've been on for years really quickly. They have awful. withdrawal for for a couple of months and then they kind of they come back together. But then. there's another group of people that when they try that the suffering doesn't end and it's just. it's brutal and the withdrawal doesn't go away and then they have to come back on and for them. it can take them years to come off. Currently I have no real way of predicting who is going to.
have an easy withdrawal and who's going to have a difficult withdraw. It's not related to age, sex, health. Not in a way that fully accounts for the variability. Like in general, young people have. an easier go. In general, people who have been on the drug for a shorter period of time. Um, it kind of skews things, but I I've also seen young people who have been on the drug for for. not that long have a hell of a time coming off as well. And so it is it's hard for me to predict,
but because I've worked with so many people who have developed this essentially this brain injury. called protracted withdrawal, the way I've come to think about this is everyone needs to come off. um the medications gradually in a way that doesn't trigger severe withdrawal. That that's kind of the. measure. You know, you do like a 10% reduction, you see how they go. Okay, you're fine. We do. another one. But once they start to develop severe withdrawal, I then slow it down and I do smaller. and smaller reductions to get them completely off um so without severe withdrawal so they're.
not at risk of this um neurological injury called protracted withdrawal and they're able to work and. they're able to fulfill their household duties and all of that. That's that's that's the way. it should be done. So someone remains functional uh while the taper is going on. How do they feel. when they're off, when they're finally done? A lot of them feel great, especially if they've because.
people come to me because they're dealing with side effects. You know, the the drugs are actively. harming them. They feel foggy and fatigued and then to have that monkey off their back. They're. not dealing with the side effects, but then they also have that, you know, the the self-esteem. issues. You some people, you know, they they just go, I'm not broken. I don't I don't want to be on. a drug. I don't believe there's anything wrong with me. So, they love that. They love that they. can go and travel and they don't need to worry about losing a prescription or the prescription.
being stolen um from them and they love not having to line up um at the pharmacy. They they love. not having to worry about um the long-term side effects of these medications um on their brain. And so, many people are really happy. How does being on SSRIs affect people's relationships? So, the question, yeah, I mean, it's it's a question really about how does emotional.
blunting affect your ability to connect with with one another. Yeah. Yeah. I guess you just. answered the question. Yeah. And so there's there is a Facebook group um out there called Marriage. is Destroyed by SSRIs that I think it has like nearly 5,000 people in there. And the stories. you hear there are that you know we were in a relationship, my spouse was you know depressed, they got put on a medication and um so in some instances they'll say that the person became.
emotionally distant. They stopped being intuitive about their partner. they stopped recognizing um. that there were issues going on and and and they became kind of uh harsh and and neglectful. And so. um I think it can get in the way of empathy. And this was I mean this is a funny story actually cuz. my wife and I we both tried Zoloft. We got it from a friend of ours when we were in our residency.
because I wanted to see what it was like these medications. So, I was prescribing them to people. Depends on how they ask me. No, this is an SSRI. Okay. Yeah. So, I So, I took an SSRI cuz I just. wanted to see what it was like. Um, and she hated me when I was on Zoloft. She did? Why? Well, she. felt like I didn't really care about her anymore. Like, she would, you know, we'd be having uh like,
you know, I mean, she'd be upset about something. I don't know. the kitchen was dirty and I I'd left. a mess and she'd be talking to me and I'd just be like so zoned out, not caring about her emotions, emotionless, not aware, not being able to intuitit things because in the past, like. if I walked into the house and I could pick up that she was upset and walk over to her and say, "Hey, you know, what's going on? I I can I can't I I sense something is is wrong. Let's talk about. it." That went away. that that ability to kind of detect, you know, subtle kind of emotional.
changes in her went away and she hated that. Um, how long were you on it? I think 2 to 3 weeks and. then that I mean that was enough of an experience to kind of feel what that was like. Um, and so so. you took it because you're going to be prescribing it and you wanted to know what it was. Yeah. And. my professors made me feel like this was like the biggest lunatic idea ever. Seriously? Yeah. Yeah.
They was like, "These are serious medications. You shouldn't be taking them." But I was just like, "I. I need to know what this experience is like if I'm going to prescribe." Empathy. Yeah. Yeah. Yeah. So, I I've taken several psychiatric medications because I think it's really important that I know. what they feel like. Yes. I agree. What else have you taken? I've taken like uh metazipene. I've. taken trazadone. I've t What are those? Oh, these are anti-depressants and sedatives and I've taken. benzodiasipines. Um like um What do you think of those? Uh they made me worse to be honest. The the.
benzo were actually prescribed to me cuz after and this is crazy cuz I'm a drug side effect guy that. this happened to me. After my life is wild. Yeah. So after my daughter was born, I had just started. working at the FDA and you know I was a clinician. That's what I was used to. And all of a sudden I. was a drug regulator doing reports every day. And that was really stressful to to have a new. kid and have a new job. And um I was also totally overdoing it on stimulants. Like I was drinking a.
large cup of coffee in the morning, two diet cokes during the day. I was probably packing like, you. know, five Zins in my mouth throughout the day. You could First of all, Zins are only for rectal. use. I don't know if you knew that. You should be using ALP. Should be using the AL. Okay. Sorry. Excuse me. Yeah. Um, and so my sleep deteriorated. Um, I was having a really hard time sleeping just. with all of the pressure and my daughter waking up in the middle of the night. So, so I got a. script for Xanax from a nurse practitioner and I would just take it once a night and then very.
soon it became every other night and then very soon it became every night. And um, it slowly. wore off and I started to become more anxious over time. And this is what happens with benzo. I would be sitting there trying to concentrate on my reports and I'd be getting obsessive thoughts. about embarrassing things that had happened in the past. I mean, it was like torturous. Like just like they would just spring into my mind. Um, and thankfully I had the foresight to. realize that the drug was actually making me more anxious. Yes. And I see this with a lot.
of my patients. I was able to come off fairly quickly. Not many many people aren't. But that. experience really taught me about how how easy it is for these drugs to make you worse. And I mean, if I didn't know what I was doing and I wasn't interested in drug side effects, I could have gone. in to see a doctor and they would have said, "Oh, you've developed an anxiety disorder. You know, here's some Zoloft." And then you get on this prescribing cascade where you got started on.
one drug, you had a side effect, and then you get started on another one, and before you know it, you you're taking multiple meds. So you say you would go into a doctor and tell them this, but now postco there's something called tellaalth and my impression is that the bar has dropped. maybe what it tell what is tellahalth and how has it affected this business? Yeah, I mean tellahalth.
is essentially being able to get medicines virtually sometimes without even seeing a. clinician and it has essentially just exacerbated all the worst parts about the American healthcare. system. I recently did an investigation on a company I think it was it's called him the female. version is for hers. These are essentially online teley health companies that sell lifestyle drugs, things like finasteride for male patent baldness. Uh but they also sell anti-depressants. And when I.
went through their But they're drug sellers. They don't do orthopedic surgery or anything. They're. drug sellers. Yeah. They they they are they like a Silicon Valley startup um to essentially just just. make it really easy to get certain drugs. And I was obviously horrified about this because I think. psychiatric drugs are massively overprescribed. And so I wanted to investigate what the oversight. was like. And I essentially I ended up signing up to make an account. I filled out a questionnaire.
I I supposedly spoke with a nurse practitioner on a chat, which could have just been boilerplate AI. generated text. They diagnosed me with depression and then they sent me Lexapro in the mail three. days later and I never even saw anyone and then there was just like a little hyperlink that said. click here to learn about the side effects. I videotaped the whole thing and I put it on my. YouTube channel but that is awful. I mean that is not the kind of care that you would ever want for.
someone that that you love. I mean that's not care. No, it's not care. It's drug dispensing. It's it's drug dispensing and just milking insurance because you can just or it's you. can just you know the person pays you 150 bucks a month or whatever it is and you just keep on. sending them you know SSRI without really trying to help them at all. Um, and remember these are.
the drugs that cause PSSD and can cause homicide, homicidal behavior, and can cause brain injury. when people try and come off of them. And no one is even sitting with them to say, "Hey, I really. need to make sure that you understand what you're getting into. I really need to make sure that you. understand that there are alternatives for this that are safer. uh these companies have just like, you know, there's there's like a PDF that you could read on the way to like the checkout. page and they're just like, "Okay, our job is done here." But what's wild is after, you know, an hour.
and a half of telling me uh and I think making an airtight case that these drugs are really. dangerous and are grossly overprescribed. You're describing changes to the system that make it. easier that guarantee their use is more widespread and less regulated and less oversight and less. actual care. I mean, it's kind of weird that the evidence is in. It sounds like this is very. serious. Mhm. But not only are we not clamping down, we're making it easier for people to get.
it. Yeah. Yeah, we are. What did um something just happened? And I don't fully understand it. In the. state of Illinois, Governor JB Pritsker, who wants to run for president, Democrat, signed a bill that. brings some of this into the schools. Tell us what that is. So, it was a bill mandating uh mental. health screening uh for children as young as third grade uh in the state of Illinois. And so this.
was in response to statistics showing that mental health is worsening in the state, which are true, of course. And so they their response was, well, we need to get into the classroom and. we need to make these kids fill out uh mental health screeners to to see if they have anxiety. or to see if they have depression. Um with the goal that that is going to improve mental health. outcomes because if you detect it, you can treat it. Um, now why I think this is the dumbest law.
ever and it's going to lead to more problems is our mental health care system is so dysfunctional. Like screening is not a bad thing. You know, no knowing that someone is depressed or anxious that. that's not inherently bad. I mean, we want to help people. Yes. But what is going to happen with a. law like this is it's going to end up just scaring parents. They're going to be said, "Oh, you know, your kid has anxiety and depression. and you should get that taken care of before they start.
becoming suicidal. They will go into a mental health care system which is already broken, highly. transactional. Um where doctors will have limited facetime and will lean on prescribing u medic. medications. Um I'm all for screening but not when the mental health care system is dysfunctional. Just funneling people into a broken system. But why? So they're targeting kids for this? Yeah. Did anyone say anything about it? No. Not this. This just seems to be going ahead as if it's.
the greatest thing ever. But the irony is that the people who I mean there are all kinds of people. grandstanding about quote mental health. Like and they're all the same people who are pushing drugs. that degrade mental health and hurt people. Have you noticed this? Yes. People stand up like I do. We have a mental health crisis in this country. Yes. I couldn't agree more, but those people. seem totally uninterested in fixing it. They seem to be intent on making it worse. I mean,
it's it's it's grandstanding. I mean, that that is what it is. It is, you know, talking about mental. health and being an advocate for mental health is one of the, you know, it's this this, you know, this, you know, this morally righteous thing to do and people want to jump on that bandwagon and and. this seems like, oh, this is like, you know, this is a good thing for me to be doing. I'm such a. good person, not understanding that the downstream effects can be really harmful. It's like advocates.
for the homeless. More of those we have, the more homeless we have. Yeah. Yeah. Okay. Okay. So, last question. Um, you do this for a living and I I think unusually for a psychiatrist, you seem to really care about the outcome and whether people are thriving or not, which is supposed to be the goal of the business is to help people thrive. What advice would you. give to people who are anxious or depressed or sad or are struggling with what we call mental health?
like what are the ways to restore happiness and vigor to a human life? I would say I think a. lot of mental health comes down to three things. I think it comes down to your relationships. I think. it comes down to your purpose and what you do. And I think it comes down to your physical health. And. so I would want the person to audit their life. What how am I doing in these three areas? and to.
treat the root causes. You know, don't let someone tell you you have a chemical imbalance. If if you. if you look at your life and you're, you know, you're you know, you're using drugs that that can, you know, mess with your chemistry, address that. If you're eating foods that uh you know, if if. you have like pre-diabetes or or um and because your your diet is off, you know, fix your diet, get moving, get in the sun, do the things that our bodies are naturally designed to do. So, so. work on your health and then just think about the next thing that needs to be addressed. You know,
are you having problems with loneliness and relationships? You can find people that that. can help you with that problem. Not not like a [ __ ] therapist, but someone that actually has a. track record of helping with your relationships or helping with connections. If you're having. difficulty at work, you can find coaches that actually have a track record of helping you find. more meaning in in your work as well. And so what I tell people is that there's no don't believe the. story that there is this magic pill that is going to fix pretty much the most complicated issues in.
your life. You know, your ability to connect, your ability to find meaning and purpose, you know, your your health. There's no magic pill for that. These things are cultivated over decades with uh. you know, attention and effort. They're the most important things in your life. Just start start. somewhere. Are you um confident that AI therapy will help people's mental health? Why are you.
laughing? This is the new frontier. I believe it's very well funded. Yeah. Um that is so disturbing. because I feel like AI therapy is like the most like it just it it doesn't give you like it it. just affirms what you put into it as well. It's just like oh yeah that's so hard, that's so rough. That must feel so bad. It's It's I don't know. It's It's totally disturbing and like dystopian. Yeah. Yeah. It talk to the machine. That's worse than talk to the hand. Yeah. Yeah. But it affirms.
what you put into it. Can you flesh it out a little bit? Well, let's say you are, you know, you have a conflict with like your spouse. Oh my god, I was so frustrated that, you know, they did. this and that. It could just say, "Yeah, that must be, you know, that must just be so frustrating. But isn't that Isn't what we're supposed to do is affirm people in their beliefs? No, we need a No, no, you sound mean. Yeah, I'm I am I am I am mean, but that's that's what you need. You you need,
you know, you you almost need that paternal energy in there where someone is is going to. hold your feet to the fire and make you you know, push you, make you grow, kind of encourage you to. get outside of your comfort zone. You don't need that that affirming energy. So, it's not helpful. to say yes, you are a shitty person and that's okay. Not all the time. Yeah. Yeah. How uh how.
unpopular are you among other psychiatrists? Yeah. Yeah. I'm unpopular amongst other psychiatrists. and also in the media. I'm a I'm a dangerous person. Why? Yeah. because I'm scaring people. away from life-saving drugs and I'm stigmatizing them because I have a message that mental illness. is much more than just chemicals in the brain and that there are other non-drug approaches that can. be helpful and that's bad. That is bad. So, anyone who says your problems are more complicated than a.
single pill can solve, that person is dangerous. Yeah. Yeah. That person is dangerous. The person. doesn't get it. Um, and um, they're making people with mental illness feel bad about themselves. because gosh, you should just let them accept that they have a broken brain and there's nothing they. can do about it. And to encourage them to look at it otherwise is just to to harm them, you know, it's it's to make them feel bad about something that they can't change. Boy, that's that's the.
crulest approach I can imagine to human suffering. I mean, if you took that approach to cancer, what would that look like? You've got cancer and here comes Dr. Ysef saying, "Actually, I I could help you take the tumor out." And then a bunch of screechy ladies are like, "That's mean." Yeah. You got to affirm the person's cancer. Affirm that cancer. Yeah. Yeah. I I really I hope this uh interview is not throttled. I really appreciate your bravery.
and your directness and your very obvious compassion and empathy. I don't think you. were a mean person. Obviously, you didn't go into this to hurt people. Clearly. Yeah. So, thank you. Thank you for having me. [Music] So, it turns out that YouTube is suppressing this. show. On one level, that's not surprising. That's what they do. But on another level, it's shocking. With everything that's going on in the world right now, all the change taking place in our economy.
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